Mr Justin M White, LCASA, LCSWA is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Charlotte, North Carolina. His current practice location is
100 Billingsley Rd, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(704) 376-7447.
Mr Justin M White is licensed to practice in North Carolina (license number 22804-A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1144776741.
Healthcare Provider's Profile
| Full Name | Mr Justin M White |
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| Gender | Male |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 100 Billingsley Rd, Charlotte, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1144776741
- Provider Enumeration Date: 09/01/2016
- Last Update Date: 12/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 4486004736
- Enrollment ID: I20231228001848
Medical Identifiers
Medical identifiers for Mr Justin M White such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1144776741 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | C016600 (North Carolina) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 22804-A (North Carolina) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Justin M White allows following entities to bill medicare on his behalf.
| Entity Name | Anuvia Prevention & Recovery Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093756819
PECOS PAC ID: 6507159084
Enrollment ID: O20160720002525 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Justin M White is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Justin M White, LCASA, LCSWA
429 Billingsley Rd,
Charlotte, NC 28211-1007
Ph: (704) 445-6900 | Mr Justin M White, LCASA, LCSWA
100 Billingsley Rd,
Charlotte, NC 28211-1002
Ph: (704) 376-7447 |
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